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| Research progress on the diagnosis criteria and treatment strategy of adolescent polycystic ovary syndrome |
| LI Yan1 HOU Lihui2 ZHANG Meiwei3 |
1.Research Center of TCM Translational Medicine, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Department of Gynecology, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
3.Graduate School, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China |
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Abstract Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age, and the onset of PCOS is in puberty. Adolescent PCOS is a disease concerned by gynecologists and pediatric endocrinologists because of overlapping clinical features and physiological manifestations of puberty, the diagnostic criterion for adolescent PCOS is still controversial. At present, guidelines for the diagnosis and treatment of polycystic ovarian syndrome in China suggests that diagnostic criterion for adolescent PCOS should fulfill all the three indexes of 2003 Rotterdam PCOS diagnostic criterion and exclusion of other causes of elevated androgen levels and other diseases that cause ovulation disorders. Treatment strategy of adolescent PCOS should be focused on using multiple treatments to adjust menstrual cycle, correct abnormal sex hormones and glucolipid metabolism, improve other clinical symptoms and prevent long-term complications, according to different clinical symptoms and signs. In addition to lifestyle intervention, oral contraceptives, insulin sensitizer and so on, complementary and alternative medicine managements such as natural therapies, yoga asana practice, acupoint catgut embedding and auricular acupressure are also used in treating adolescent PCOS and have obtained good curative effects. The present study reviewed the progress of diagnosis and treatment on adolescent PCOS at home and abroad.
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